A current controversy in gynecology illustrates several issues with the implementation of evidence-based medicine into surgical procedures. The clinical question is, Should we perform universal […]
Four Tips for A Non-Descending Uterus
“If you do only routine cases eventually even they will become difficult.” A limiting factor for many during vaginal hysterectomy is the non-descending uterus. Women […]
What’s Your Best Guess?
Until I know this sure uncertainty, I’ll entertain the offered fallacy. – William Shakespeare, The Comedy of Errors My four year old daughter asked me to guess which […]
Paved With Good Intentions … Or, How Do I Do A Vaginal Delivery?
Here are some steps of vaginal delivery that have been used in various combinations over the last century: In early labor, nurses should shave the […]
Ten Ways To Reduce The Cost of Healthcare
The cost of US healthcare is growing at an unsustainable rate. Despite measures that were supposed to lower the rate of growth of healthcare costs […]
People Still Matter
Laparoscopic Burch Colpopexy Uncontrolled variables are a huge problem with every scientific study. When we compare two blood pressure medications to one another, the results will have […]
I Read It On The Internet…
Most people, it turns out, aren’t really all that skeptical. The 2016 election has taught us that what passes as ‘news’ isn’t always very true. […]
It’s Perfect! Very accurate, with a low false positive rate…
He uses statistics as a drunken man uses lamp posts – for support rather than for illumination. – Andrew Lang I recently attended a conference […]
What’s Old Is New Again
I recently came across this quote from an article in The American Journal of Surgery: Then gynecologists became enthused over this new surgery and departed […]
The Percentile Fallacy
Tallinn, Estonia In ancient times they had no statistics so they had to fall back on lies. – Stephen Leacock In almost every situation where data […]